A new nurse has been hired to work in a busy pediatric intensive ...

[crobinson2013]

A new nurse has been hired to work in a busy pediatric intensive care unit at the local hospital. The nurse will spend six weeks in orientation to the unit. The new nurse demonstrates commitment by:
 
  1. Attending every class on time.
   2. Questioning the preceptor during all procedures.
   3. Joining the ANA.
   4. Exhibiting clinical competence.

Question 2

The parents of a child with a spectrum disorder are asking the nurse about what kind of social expectations are realistic for their child. Which of the following is the overall outcome for a child diagnosed with a spectrum disorder?
 
  1. To acknowledge personal strengths
   2. To acknowledge the effects of one's own behavior on others
   3. To stay on task
   4. To function more effectively in social and emotional interactions

[BUTTHOL369]

Answer to Question 1

1. Attending every class on time.

Rationale:
The new nurse can demonstrate commitment by showing up for all classes in a timely fashion. It should not be necessary for the new nurse to question every procedure, as the new nurse has some clinical experience. Joining the ANA is a commitment, but is not relevant to this question. Clinical competence develops over time, and the new nurse is not likely to exhibit competence yet; showing up on time is a better predictor of the nurse's commitment.

Answer to Question 2

4. To function more effectively in social and emotional interactions

Rationale:
Autism spectrum disorders involve difficulties in the quality of both the social interaction and the communication of the child. In social interaction, the child may have problems making eye contact, fail to develop appropriate peer relationships, fail to spontaneously seek out shared enjoyment with other people, or show no social or emotional reciprocity. Children with spectrum disorders may or may not be able to acknowledge the effects of their behavior on others, stay on task, or acknowledge personal strengths.

[crobinson2013]

Excellent

[gcook]

TYSM